| Elizabeth Shouse | |
|
130 S Euclid Ave Ste 8 Pasadena CA 91101-2472 | |
| (818) 429-3707 | |
| Not Available |
| Full Name | Elizabeth Shouse |
|---|---|
| Speciality | Clinic/Center |
| Location | 130 S Euclid Ave Ste 8, Pasadena, California |
| Authorized Official Name and Position | Elizabeth Anne Shouse (CLINICAL PSYCHOLOGIST/CEO) |
| Authorized Official Contact | 8184293707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Shouse 130 S Euclid Ave Ste 8 Pasadena CA 91101-2472 | Elizabeth Shouse 130 S Euclid Ave Ste 8 Pasadena CA 91101-2472 Ph: (818) 429-3707 |
| NPI Number | 1386204386 |
|---|---|
| Provider Enumeration Date | 06/20/2019 |
| Last Update Date | 06/20/2019 |
| Medicare PECOS PAC ID | 7911237565 |
|---|---|
| Medicare Enrollment ID | O20190924002247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386204386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (NU) | Primary |
| Provider Name | Elizabeth a Shouse |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760848659 PECOS PAC ID: 4880997063 Enrollment ID: I20160121001581 |
| Provider Name | Maritrini S Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750896387 PECOS PAC ID: 1850823758 Enrollment ID: I20241016004201 |
| Provider Name | Teresa Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649300088 PECOS PAC ID: 5991276024 Enrollment ID: I20260609002407 |
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